在日本使用标准化EHR数据对联合学习的评估
Koutarou Matsumoto1,2,3, Saori Tou1, Yuta Nakamura2
1Department of Health Care Administration and Management, Graduate School of Medical Sciences, Kyushu University.
Studies in health technology and informatics
|August 8, 2025
概括
联合学习 (FL) 允许多机构共享数据,用于医疗保健中的预测建模,通过仅交换模型参数来增强患者隐私. 这种方法提高了视频辅助胸腔镜手术 (VATS) 后长时间空气泄漏 (PAL) 的预测准确性.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 手术结果研究研究.
背景情况:
- 多机构数据共享对于开发医疗保健中强大的预测模型至关重要.
- 患者隐私问题往往阻碍了分享敏感的电子健康记录 (EHR) 数据.
- 在视频辅助胸腔镜手术 (VATS) 后预测持续的空气泄漏 (PAL) 是临床上具有意义的.
研究的目的:
- 应用联合学习 (FL) 来开发PAL在增值税后的预测模型.
- 评估FL在多机构数据共享中的可行性,同时保持患者隐私.
- 与集中式方法相比,评估基于FL的预测模型的性能.
主要方法:
- 利用来自日本两家医院的标准化EHR数据.
- 实施联合学习 (FL) 通过仅交换模型参数来训练预测模型.
- 通过不分享潜在的患者数据来确保患者的隐私.
主要成果:
- 通过使用FL.FL来预测PAL,实现了高分辨率的准确性.
- 证明FL可以提高医疗保健环境中的预测模型准确性.
- 观察到FL模型可能会受到来自参与机构的数据量的影响.
结论:
- 联合学习 (FL) 为医疗保健中保护隐私的多机构数据共享提供了可行的解决方案.
- FL可以促进手术结果的准确预测模型的开发,如PAL.
- 需要进一步验证以解决与数据量相关的FL模型中的潜在偏差.
相关概念视频
Integrated Healthcare System
1.8K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.8K
Methods of Documentation VII: EMR
913
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
913
Healthcare Agencies II
750
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
750
Healthcare Agencies I
786
Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...
786
Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K
Purpose of Health Records II
1.0K
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
1.0K


